...Case Study: Partners HealthCare Systems Case Study: Partners HealthCare Systems Partners HealthCare is a non-profit, health system located in Boston that created a data based transformation (Davenport, 2013). It integrated a new system that aligned the participating organizations to cohesively run as one and to help shape the future of the organization. The system didn’t stop there as it was responsible for bettering the patient financing experience and the delivery of healthcare information to other organizations (Davenport, 2013). The initial goal of the organization was making patient care more affordable and accountable by providing integrated, evidence based, patient-oriented care. Problem Identified Partners HealthCare, which was created by major contributing hospitals and medical facilities in the Northeast, initially began as a way to focus on the patient needs; however, the company soon found themselves separating from their initial goal. There was more than one problem identified within the realms of the company. There are three main issues that this case study produced. The first outlying issue is called Alert/Warning Fatigue (Davenport, 2013). This derives from alerts that were placed in the system to warn doctors of notices that could be anything from mixing prescriptions to simple notifications that most doctors already knew or was not in their field of study. A second issue that requires resolution to create a successful working system is the sense...
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...EHR/CPOE Implementation Executive Summary This thesis follows the implementation of Computerized Patient Order Entry/Electronic Health Record (CPOE/EHR) system implemented by Partners Healthcare System (PHS) during 2002-2003 for all its constituent practitioners. It looks at the problems faced during implementation of the system and identifies new potential problems that the system may encounter. Particularly in consideration is the effort it takes to convince healthcare professionals to switch to CPOE/EHR, the cost of installing the system, the potential of automating redundancies in the system and the potential of healthcare professionals getting skewed data out of the system suggestions. It looks at the management challenges faced by the administration when bringing about CPOE/EHR to PHS and divulges in some techniques that were used for tackling these issues. It defines ways in which the system is being used to improve patient healthcare and save millions of dollars for the government, healthcare facilities and patients alike. This thesis also finds ways to combat the potential problems that may arise later and the system and looks at related government policies and statutes which apply to the implementation. Finally some metrics of success are discussed their effectiveness in driving a result. Problem Definition CPOE/EHR Implementation can face a host of problems that can hinder the process flow and the acceptability of the system by the people involved. The initial...
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...Partners Healthcare Case Study Partners Healthcare is considering the introduction of real assets into the organization’s portfolio. The analysis will demonstrate the effects of having one risky asset and one risk-free asset in a portfolio. Our analysis will also show that the introduction of real assets can decrease the risk of the hospital’s portfolio. Each hospital in the healthcare system can determine the appropriate portfolio mix based on their desired expected level of return and risk they are willing to accept. In the case for a hospital it is crucial that it manages donated funds properly so the hospital can continue to operate even if its income from operations is negative. Using the STP (short term pool) that Manning had put together with his management team that overseen it, he had decided that to use this as the risk-free part of their holding, where the STP (investments averaging from 1-2 years in length) average return was 3.2%. With the LTP (long-term pool) they had investments in risky assets which were mainly different forms of equity which were overseen by more than 30 multiple asset management firms. While they also had a small fixed income segment in the LTP that had been invested in primarily high-quality long-term bonds. There are two ways the hospital can plan to invest, with a few different rationales behind them. The hospital can choose to invest, either very conservative and continue to operate while accepting minimal risk , where operations...
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...Pregunta 1 Suponga que diferentes hospitales dentro del sistema Partners eligen diferentes combinaciones del portafolio “libre de riesgo” STP y del portafolio base LTP, cuyos retornos esperados y niveles de riesgo aparecen en la tabla 3 (Exhibit 3). Grafique los niveles de retorno y riesgo para distintos portafolios que se puedan formar combinando STP y LTP. ¿Qué forma toma la curva que se genera al unir con una línea las diferentes combinaciones posibles de riesgo y retorno? ¿Por qué? ¿Cómo se compara la curva anterior con la que surgiría si los hospitales decidieran invertir solamente en STP y en Acciones de EE.UU? Exhibit 3 Calculando el retorno y desviación estándar del portafolio LTP y STP tenemos: Por tanto en resumen tenemos: Asignamos proporciones tanto a LTP y STP de acuerdo a……… Y tenemos lo siguiente: ¿Qué forma toma la curva que se genera al unir con una línea las diferentes combinaciones posibles de riesgo y retorno? ¿Por qué? ¿Cómo se compara la curva anterior con la que surgiría si los hospitales decidieran invertir solamente en STP y en Acciones de EE.UU? La forma que adopta la curva de las distintas combinaciones de los portafolios STP Y LTP es la de una recta creciente que parte desde el retorno del portafolio libre de riesgo, idéntica a la recta de mercado de capitales del modelo de Markowitz. La razón por la que toma esta forma está determinada por la incorporación en el portafolio de un activo libre de riesgo, en este caso...
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...Asset Class S.D. Expected Return Weight Asset Class Contribution Sharp ratio US Equity 15.21% 12.94% 24.32% 3.15% Foreign Equity 14.44% 12.42% 30.87% 3.83% Bonds 11.10% 5.40% 10.83% 0.58% REITs 13.54% 9.44% 9.91% 0.94% Commodities 18.43% 10.05% 24.07% 2.42% Total 100.00% 10.92% 0.815960738 Portfolio Mean Return 10.92% Portoflio Variance 0.90% Portfolio S.D 9.46% Calculation of Covariance (Do Not Alter Formula) Correlation Matrix US Equity Foreign Equity Bonds REITs Commodities US Equity 1 0.62 0.25 0.56 -0.02 Foreign Equity 0.62 1 0.06 0.4 0.01 Bonds 0.25 0.06 1 0.16 -0.07 REITs 0.56 0.4 0.16 1 -0.01 Commodities -0.02 0.01 -0.07 -0.01 1 Covariance Matrix US Equity Foreign Equity Bonds REITs Commodities US Equity 0.0231 0.0136 0.0042 0.0115 -0.0006 Foreign Equity 0.0136 0.0209 0.0010 0.0078 0.0003 Bonds 0.0042 0.0010 0.0123 0.0024 -0.0014 REITs 0.0115 0.0078 0.0024 0.0183 -0.0002 Commodities -0.0006 0.0003 -0.0014 -0.0002 0.0340 With Weights US Equity Foreign Equity Bonds REITs Commodities 24% 31% 11% 10% 24% 24% 0.001368 0.001022 0.000111 0.000278 -0.000033 31% 0.001022 0.001987 0.000032 0.000239 0.000020 11% 0.000111 0.000032 0.000144 0.000026 -0.000037 10% 0.000278 0.000239 0.000026 0.000180 -0.000006 24% -0.000033 0.000020 -0.000037 -0.000006 0.001969 Total 0.002747 0.003300 0.000276 0.000717 0.001912 Variance...
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...Partners Healthcare Case Analysis FIN 4504: Professor Yue Tang Group Members Brittany Cyb Jessica Berman Mary Austin 1. a) Efficient Portfolios (see excel snapshot below) Acquired the Portfolio Variance Using Solver Below: Applied this Solver from 5% to 17%, changing the parameters accordingly from B through N as the expected return (constraint) changed. 1. b) Global Minimum Variance Portfolio (see excel snapshot below) Acquired Global Minimum Variance Portfolio Using Solver below: Applied similar parameters as # 1a but changed the cells and deleted the minimum expected return constraint 1.c) The Tangent Portfolio (see excel snapshot below) Acquired the Tangent Portfolio using Solver Below: Changed parameter from min to max and applied a similar constraint as #1b but chose the Sharpe Ratio as the target 2. What amount should hospital invest in each asset? What is the standard deviation? Step 1) Inserted expected return of both STP and optimal expected return of LTP into an equation to equal the desired 8% return to find the weights. .08 = w(.032) + (1‐w)(.1177) w = .44 Step 2) Solve for weights of STP and LTP assets W (Total STP) = .44 W (Total LTP) = .56 W (U.S. Equity) = .56 (.41) = .23 W (Foreign Equity) = .56 (.47) = .26 W (Bonds) = .56 (.12) = .07 Step 3) Apply weights to $100 million investment ...
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...Partners HealthCare System (PHS): Transforming Health Care Services Delivery through Information Management Case Description According to government sources, U.S. expenditures on health care in 2009 reached nearly $2.4 trillion dollars ($2.7 trillion by the end of 2010). Despite this vaunting national level of expenditure on medical treatment, death rates due to preventable errors in the delivery of health services rose to approximately 98,000 deaths in 2009. To address the dual challenges of cost control and quality improvement, some have argued that what is needed is an integrated electronic medical record (EMR) system and associated information technology-enabled processes. While the information systems currently available may meet the needs of the industry, the question remains as to what is required within and by the health care services organization to achieve a satisfactory response to these dual challenges. At the present time, Partners Healthcare System (PHS) maintains a centralized digital records library on over 5 million patients, augmented in real-time by data, textual comments, and artifacts (i.e. x-rays, MRI’s, EKG’s, etc.) as these patients visit doctor offices, receive hospital-based or home care services, and obtained prescription medications and other therapies. Procedures are in place to ensure the data quality and integrity of these patient files. Going forward, any health care professional across the network can access a patient’s complete...
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...Partners Healthcare Executive Summary Partners Healthcare is considering the introduction of real assets into the organization’s portfolio. The analysis will demonstrate the effects of having one risky asset and one risk-free asset in a portfolio. Our analysis will also show that the introduction of real assets can decrease the risk of the hospital’s portfolio. Each hospital in the healthcare system can determine the appropriate portfolio mix based on their desired expected level of return and risk they are willing to accept. I. Mixes of STP & LTP Suppose different hospitals within the Partners system chose different mixes of the “risk-free” STP (short term pool) and the baseline LTP (long term pool), whose future expected returns and risks are shown in Exhibit 3. On Exhibit 3, plot the returns and risks of the various potential portfolios that can be formed by allocating funds between the STP and baseline LTP. What shape does a line drawn through these portfolios take? Why? In contrast, what would the risk-return opportunities available to the hospitals be if they could invest only in the STP and US Equities? Exhibit 1a plots the expected returns for the mix of portfolios with the “risk-free” STP and the baseline LTP. A straight line can be drawn through these portfolios as the expected return and standard deviation (i.e. volatility) increases with the greater weight allocation to the LTP. The straight line is observed due to these portfolios being...
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...you have attained. | Part C:Career-Focused Seminars/Workshops (ECA10C – Employment Relation Office) | | a) Career preparation workshops | | b) Resume writing | | c) Job interview skills | | d) Mock Interview | | e) Dress Smart as a habit for your career | | f) Grooming for Success | | g) Presentation skills to impress employers | | h) Writing a business proposal | | i) Team workshop | | j) Image building for Self-confidence | | k) Self-financial planning | | l) Optimize learning in First year career | | m) Relations with Employer | | The speaker was Dato Gan Ah Tee who is a managing partner of BDO in Malaysia, | is one of the World's 5th largest professional services network and Also is the | Regional Senior Partner for Asia Pacific Region ‘C’ (ASEAN) of BDO. Dato’s drive | since his early age has seen him rise quickly to the top. Prior to his appointment to the | board of BDO, Dato’ Gan was the Managing Director of the Financial Advisory Services | Department at one of the Big 5 accounting firms. With over 30 years’ experience in, | auditing, accounting and financial advisory, Dato’ Gan specialises in corporate | turnaround and financial restructuring of under- performing companies, and has | extensive experience in the field of corporate finance and advisory assignments. | For his successful in his career life, he own his 8 guiding principles in his life, | The first...
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...that joined Partners in Health (PIH), Socios en Salud operating in Peru. PIH’s contrasting methods of maintaining Zanmi Lasante in Haiti and Socios made their expansion difficult, but greatly helped the new populations they served. Haiti and Peru have different political struggles which affect the potential of healthcare PIH can offer. Haiti’s government was overthrown by the Haitian army, resulting in a lot of violent political protest. Many were severely injured, which caused Zanmi Lasante’s focus to shift. Instead of working to cure those with tuberculosis, Zanmi Lasante had to nurse those victimized by the Haitian army. Not only did injuries delay Zanmi Lasante’s work , the Haitian army blacklisted PIH founder Paul Farmer for a few months. Likewise, a civil war in Peru caused the new government to place strict regulations regarding when Socios en Salud could care for people. Patients had to complete Peru’s custodial care before being surrendered to Socios. After the government let Socios care for their treatment failures, they laid heavy taxes on them. Each Socios patient costed PIH $15,000-$20,000 in contrast to Zanmi Lasante’s $150-$200. Socios could not help as many patients with tuberculosis because of the added cost, and focus shift to those injured. These problems demonstrate how crucial Paul Farmer’s leadership is to PIH. The most valuable qualities a leader can demonstrate is humility, skill, and passion. Farmer has all three, explaining why Partners in Health would...
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...Imagine working your entire life towards something that will never be finished; fighting the losing battle—could you handle that? While many would not take on the role of endless defeat, Paul Farmer chooses to continue to help the Haitian people, whilst knowing that for every one life he saves, five others are lost. Are Farmer’s acts simply those of kindness or out of sympathy, or rather, are they Christ-like in the way he provides for and loves those he helps? Through the biography about Paul Farmer written by Tracy Kidder, Farmer’s work becomes more than just kind acts and doing his job, and seems to show Farmer’s passion for the people he helps and cares for in Haiti. In the United States, healthcare is generally a widespread thing—most can be treated fairly easily and medication is readily available and affordable. Many times, the employer provides health insurance to employees, and very few die deaths that may have been easily avoided. In Haiti, it seems to be the exact opposite; there is a small amount of available doctors, many medications are expensive or unattainable, and thousands of people falling to easily treatable or easily prevented diseases and illnesses. Farmer’s key goals in helping others was to save the lives of those that would ordinarily be saved, “If people could be kept from dying unnecessarily, then one had to act.” (Kidder 102). Willing to help everyone, no matter who they are or their condition, Farmer explains “I can't sleep. There's always somebody...
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...in the country is the one from the book "Philippine Folk Dances v1" by Francisca Reyes Aquino, published sometime in 1940. The version integrated all the common dance figures among the many versions throughout the land. Three versions of this courtship-festival dance were found in Panay Island, the "Home of the Carinosa". Three different dance researchers discovered three equally beautiful Cariñosa dances. Petronila Suarez had her Carinosa Binggawan, Jose Balcena's informant; an old dancing virtuoso name Casimiro earned him the identity of Balcena's cariñosa version: Tatay Meroy Cariñosa. Tatay Meroy was an old bachelor from Roxas City who because of old age became aggressive in his courting of a future partner. This version dramatizes Tatay Mero's pursuit of his partner who teases him by flirting. Prolific Visayan dance researchers Libertad Fajardo and her daughter Joanne discovered a Cariñosa version from San Joaquin, Iloilo. The San Joaquin cariñosa is probably the most flirtatious of all known versions. Here, the couple does not simply do some hide-and-seek in a vertically spread handkerchief but also does the combing of each partner's hair and even...
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...Facebook & Yelp: A Platform for Redemption Blake Brown Arizona University Facebook & Yelp: A Platform for Redemption Introduction In 2004, private-equity firm Elevation Partners launched amid the fanfare of having U2’s Bono as a co-owner and a $1.9 billion investment fund. Bad bets on companies coupled with the high turnovers between some of the firm’s initial six founders, left Elevation Partners in a far too precarious of a state for their investors. Elevation initially promised their investors they would have their money back after ten years along with annual returns starting at 8%. 2010 saw the firm only able to return $8 million in profits to investors, but 2012 is an entirely different story. Elevation is hoping that investments in Facebook and Yelp will make their investors forget about the several missteps they have endured along the way. Analysis Backed by technology-industry veterans and the front man of the world’s most successful rock group, Elevate is in the process of raising $1 billion for a new investment fund. Attempting to rise from the ashes after investments in Palm Smartphones, Forbes Media LLC, and other companies left Elevation’s investor’s pockets far less deep then they had been promised. Despite rival private-equity funds questioning the stability of the management of the two funds, Elevation’s luck seems to be changing. Their lottery tickets of sorts lies in the performance of two social media titans, Facebook and Yelp. After...
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...Shall We Dance This is my second movie for this project. After watching Dirty Dancing, I had a big expectation to the next movie, so I wanted to choose the other movie carefully. I checked the list of the movies given by my friend. There was a little familiar movie, ‘shall we dance’ because it is also very well-known movie, so everyone can hear its title at least once even though they are not interested in movie or dancing. Therefore, I decided to watch this movie and I hoped it would be great as much as Dirty Dancing was. This movie was made in Japan first, and it was given a lot of good reputation. Therefore, it was remade in the US 8 years after the original one had made. Although I had two options to choose, I picked Japanese version, original movie, in that it was given better reputation. Also, I wanted to watch original movie first. It was a really good decision. I love the storyline of the movie and actors` acting ability. Above all things, I really love its sensitivity in the movie that was still but otherwise vital in terms of the process that main character, Sukiyama, find the real joy in his life through dancing. I could have a chance to think about myself and meaning of my life like dance teacher, Mai. It was another delight after watching this movie. Therefore, I really would like to recommend this movie to my family and friends. Here is more concrete storyline. There is a middle-aged man whose name is Sukiyama. He suddenly becomes lethargic. He is a successful...
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...story by Dorothy Parker, tells the story of an unnamed woman’s complaint with a dance partner. The pair meets at a party, when all the other dance partners are unavailable. The woman complains about the way the Man dances. Everything the man does, from the way he looks, to the steps he takes, to his cockiness makes her upset. However, the woman does not say anything to her partner. She struggles silently and it is only the reader who knows why the woman is upset. The story ends and after the dance, and the woman never reveals her thoughts or feelings. The story is an allegory because it tells a story through the story. Parker writes about a dance, but the dance represents more then the dance between the two characters. The dance expresses the relationship that women and men have. The woman, never wanted to talk to the man, but she is forced to. The woman didn’t want to dance with the man but she is forced to. The woman didn’t make mistakes while dancing, but after dancing with him she is forced to lie and say she did. The main character is never able to tell her partner her thoughts about the man’s character and behavior. The waltz is a dance complete by two partners. The male and female dancers both have parts to this dance and they both need to work together and work separately in order to make the dance a beautiful one. However, in the woman’s perspective, the man is unable to be a good partner because of the way he acts. He is very forward in his manner and dancing. He controls...
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